THE HEALTH CENTER OF LAKE CITY
The information listed below provides an in-depth look into the type and quality of care offered at The Health Center of Lake City. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
THE HEALTH CENTER OF LAKE CITY
560 SW MCFARLANE AVE
LAKE CITY, FL 32055
(386) 758-4777
560 SW MCFARLANE AVE
LAKE CITY, FL 32055
(386) 758-4777
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
94%Number of Residents and Certified Beds
- Residents: 113
- Certified Beds: 120
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- Offers Only Resident Counseling
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by The Health Center of Lake City. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
| ADL Index Range: 11-16 | 16.7% |
| ADL Index Range: 6-10 | 20.2% |
| ADL Index Range: 0-5 | 6.3% |
| Total Percent: | 43.2% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 12.9% |
| ADL Index Range: 6-10 | 8.5% |
| ADL Index Range: 0-5 | 5.3% |
| Total Percent: | 26.7% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 8.0% |
| ADL Index Range: 6-10 | 1.6% |
| ADL Index Range: 0-5 | 0.8% |
| Total Percent: | 10.4% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 3.3% |
| ADL Index Range: 6-10 | 0.8% |
| ADL Index Range: 0-5 | 1.7% |
| Total Percent: | 5.8% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 15-16 - Signs of depression | 0.8% |
| ADL Index Range: 15-16 - No Signs of depression | 0.08% |
| ADL Index Range: 11-14 - Signs of depression | 0.08% |
| ADL Index Range: 11-14 - No Signs of depression | 0.1% |
| ADL Index Range: 6-10 - Signs of depression | 0.8% |
| ADL Index Range: 6-10 - No Signs of depression | 6.0% |
| ADL Index Range: 2-5 - No Signs of depression | 0.3% |
| Total Percent: | 8.2% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 15-16 - Signs of depression | 3.7% |
| ADL Index Range: 15-16 - No Signs of depression | 0.7% |
| ADL Index Range: 11-14 - No Signs of depression | 0.04% |
| ADL Index Range: 6-10 - Signs of depression | 1.2% |
| Total Percent: | 5.7% |
Reduced Physical Function
- Urinary and/or bowel training program
- Passive and/or active range of motion (ROM)
- Amputation/prosthesis training
- Dressing or grooming training
- Eating or swallowing training
- Transfer training
- Splint or brace assistance
- Bed mobility and/or walking training
- Communication training
| ADL Index Range: 11-14 - Less restorative nursing | 0.08% |
| Total Percent: | 0.08% |
Rating Details For The Health Center of Lake City
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 37 Minutes | 1 Hour and 17 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 56 Minutes | 44 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 60 Minutes | 2 Hours and 38 Minutes |
| Total Licensed Nurse Hours | 1 Hour and 33 Minutes | 2 Hours |
| Total Nurse Hours | 4 Hours and 32 Minutes | 4 Hours and 39 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Florida Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 86% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 87% |
Long-Term Stay Deficiencies
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 10% | 9% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 11% | 12% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 4% | 5% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 5% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 9% | 8% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 2% | 3% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 9% | 12% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 9% | 5% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 58% | 54% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 13% | 11% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 3% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 18% | 10% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 56% | 80% |
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 81% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | - | 2% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 17% | 17% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 16% | 14% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 12/09/2010.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
|  |  |
Keep Accurate and Appropriate Medical Records.
| | |
Environmental
Have a Program to Keep Infection from Spreading.
| | |
Provide Needed Housekeeping and Maintenance.
| | |
Have a Program to Keep Infection from Spreading.
| | |
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
| |  |
Store, Cook, and Give out Food in a Safe and Clean Way.
| |  |
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
Pharmacy Service
Make Sure That Residents Are Safe from Serious Medication Errors.
| | |
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| | |
Quality Care
Give Professional Services That Meet a Professional Standard of Quality.
| | |
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
| | |
Provide Activities to Meet the Needs of Each Resident.
| | |
Resident Assessment
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
| | |
Resident Rights
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
|  | |
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
| | |
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
| | |
Source: Medicare Nursing Home Compare; Agency for Health Care Administration of Florida - Retrieved 2011
